LASportsAndSpine
Surgery not usually superior to non-surgical care for most musculoskeletal conditions. https://www.jospt.org/doi/pdf/10.2519/jospt.2022.11075?download=true #Overutilization_of_Surgery View original post on FB Posted to FB on 2022-07-23 02:38:56
Norway introduced Children’s Rights in Sports in 1987 and updated it in 2007. It is eight pages long and begins: “Children are engaged in sports because they enjoy it. … This is the foundation that all coaches, managers and parents must safeguard and develop further.” A comprehensive 2013 study. found pre-pubescent specialization does not increase … Read moreColumn: Norway’s hands-off approach to youth sports might explain why they’re so good when they get older
Further concerns about steroid injection safety. Intra-articular corticosteroid injections in patients without knee osteoarthritis at the time of injection are associated with a dose-dependent risk of total knee arthroplasty at 5 years. https://pubmed.ncbi.nlm.nih.gov/35773523/ #Knee View original post on FB Posted to FB on 2022-07-13 04:40:34
5-year (!) follow-up shows that exercise-based rehab is preferred over surgery for degenerative meniscal tears. #Excessive_Imaging_for_Musculoskeletal_Problems #Overutilization_of_Surgery #Knee https://t.co/OCnIr8dbQX View original post on FB Posted to FB on 2022-07-12 00:17:15
“ Injury prevention programs/exercises are appropriate to prescribe for athletes of all levels to prevent shoulder injury.” “Fundamental components of exercise programs to manage shoulder injury risk in overhead and contact/collision sports are outlined in Table 1. The principles can be extrapolated to other cases, with the caveat that “recipe-style” approaches should be avoided. Each … Read more2022 Bern Consensus Statement on Shoulder Injury Prevention, Rehabilitation, and Return to Sport for Athletes at All Participation Levels | Journal of Orthopaedic & Sports Physical Therapy
“PRP Injections vs saline injections = no efficacy was demonstrated in their high quality RCT. In line with other high quality work on PRP from that year.” https://open.spotify.com/episode/1RvZ2HXloaDxszWCkvu2yZ #Knee View original post on FB Posted to FB on 2022-07-09 23:34:44
A new report on Australia’s health highlights the need for investment in preventative health care such as physiotherapy to combat growing rates of chronic disease including our two biggest killers, cardiovascular disease and dementia. The Australian Institute of Health and Welfare’s Australia’s Health 2022 report illustrates the importance of addressing modifiable risk factors, such as … Read moreAPA | Preventative health reform key to reducing Australia’s disease burden
Hippocratic Oath – First do no harm. Musculoskeletal medicine is in a free fall. Practitioners of all stripes over-estimate the benefit of what they do & under-estimate the risk or downside. “too many drugs are being prescribed, too much surgery is being performed, and there are too many unhelpful tests, scans, and overdiagnosis.” As a … Read moreWhy too much medical treatment is causing more harm than good
“Use of early diagnostic magnetic resonance imaging (MRI) for low back pain (LBP) contributes to increasing health care costs but may not lead to better outcomes than delayed imaging.” “Among workers with LBP, early MRI is not associated with better health outcomes and is associated with increased likelihood of disability and its duration.” #Excessive_Imaging_for_Musculoskeletal_Problems #Overutilization_of_Surgery … Read moreEarly Imaging for Acute Low Back Pain: One-Year Health and… : Spine
MRI is not risk free “Inappropriate use of MRI leads to increasing interventions and surgeries for low back pain (LBP).” Those receiving it w/ a standard report describing often False + findings as the single cause of symptoms “had a more negative perception of their spinal condition, increased catastrophization, decreased pain improvement, and poorer functional … Read moreThe catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials – PubMed
